Monday, November 4, 2013

More Appointments

My next appointment is with Dr. Rasmussen. We go over the latest and greatest which included the ER visit and partial blockage and the 4th dilation. He also decides at this appointment that the feeding tube has become necessary and doesn't want to wait any longer to have it done. He is also leaning more towards the idea that some part of the surgery will need to be re-done but will not consider re-doing the surgery until at least 6 months post-op and until I can stabilize and maintain my weight. How much of the surgery that needs to be re-done he is not sure of and decides to order another test. Another barium swallow is ordered right before the feeding tube will be placed. I am supposed to follow up with him a week after the feeding tube is placed.

I also see Dr. Frech before the feeding tube is placed to follow up with the last dilation. He 100% agrees with placing the feeding tube. When he goes back to look at all my numbers, it is shocking to hear how much I have really lost. He is also super leery about re-doing the surgery. He thinks it will be beneficial to leave the tube in place for 6-8 weeks and then pull it out and do a steroid injection into the surgical anastomosis. This can prevent inflammation and allow that area to heal better. He also suggests doing a side by side re-connection in the surgery. This involves cutting the old connection loose and bringing the intestine side by side and cutting it open 3-4 cm and then connecting that to the stomach. He wants to see me again in 6 weeks or before that if Dr. Rasmussen decides to do surgery.


At this point, I am confused at whose plan I want to go along with. 

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